Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $855.05 / $1,352.83 / $3,391.75	Facility		$855.05	$1,352.83	$3,391.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $879.13 / $1,139.45 / $2,424.51	Professional		$879.13	$1,139.45	$2,424.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,570.77 / $2,078.82 / $2,675.42	Professional		$1,570.77	$2,078.82	$2,675.42
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $837.68 / $1,280.69 / $4,381.96	Professional		$837.68	$1,280.69	$4,381.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $966.31 / $1,807.82 / $2,403.36	Facility		$966.31	$1,807.82	$2,403.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,200.76 / $2,011.73 / $6,040.95	Professional		$1,200.76	$2,011.73	$6,040.95
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,711.08 / $2,078.82 / $2,346.96	Facility		$1,711.08	$2,078.82	$2,346.96
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,209.60 / $1,970.72 / $2,471.67	Professional		$1,209.60	$1,970.72	$2,471.67
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $120.36 / $919.51 / $1,699.03	Professional		$120.36	$919.51	$1,699.03
United Facility/Professional Professional Modifier Low / Median / High Price $963.95 / $1,673.09 / $2,279.96	Professional		$963.95	$1,673.09	$2,279.96
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,536.55 / $1,945.00 / $2,288.30	Professional		$1,536.55	$1,945.00	$2,288.30